The SATC Pediatric Sexual Abuse Medical Examination

The Sex Abuse Treatment Center (SATC) provides medical examinations for children and adolescents up to age 18 to evaluate sexual trauma and provide medical treatment. This exam is for situations more than 120 hours after the abuse occurred. If you are aware of a child or adolescent who has been assaulted and it is within 120 hours of the assault, please refer to the SATC Acute Forensic Examination.

Pediatric Sexual Abuse Medical Examination

  • This exam is by appointment only. Call the SATC office at 535-7600 Monday - Friday, 8 a.m. - 4:30 p.m. to schedule an appointment.
  • Exams are conducted at the Kapi`olani Medical Center for Women and Children Emergency Room at 1319 Punahou Street.
  • Crisis Counseling is available during the examination.
  • Suspected cases of child sexual abuse by a family and/or household member should first be reported to the Department of Human Services-Child Welfare Services (DHS-CWS) at 832-5300. If the case is accepted for investigation, DHS-CWS can refer the child to SATC for an exam.
  • Information shared with SATC is held confidential unless disclosure is required by law.
  • There is no charge for the examination.

What will happen at the Kapi`olani Medical Center for Women & Children for the Pediatric Sexual Abuse Medical Examination?

Upon arrival, the young person will be registered as a patient of the Kapi`olani Medical Center. The parent or legal guardian will sign consent forms for treatment. A SATC worker will be present to assist during the exam and provide counseling to the young person and any family or other support persons present. Feel free to discuss with this worker any feelings and reactions about the sexual abuse and ask any questions about the medical procedures. This SATC worker can also assist with questions or concerns about reporting to the police if desired.

What is included in the Pediatric Sexual Abuse Medical Examination?

The Pediatric Sexual Abuse Medical Examination will be performed by a SATC physician. This doctor is trained to provide medical care that is specialized for young victims of sexual assault and abuse. The exam is done in a room set up for the specialized medical exam.

The first step will be the gathering the young person's medical history by the doctor. Next, depending on the age of the young person, the doctor will ask about the sexual abuse incident and the specific sexual acts that occurred. A parent who is present may also be asked questions if the sexual assault was described to this parent. These questions are to find out how to best help medically and to document the incident for legal purposes.

During the physical exam, the doctor will check for external physical injuries and examine the young person's genital area for trauma. The doctor may take photos for medical evaluation and to document injuries. In addition, there will be an evaluation for sexually transmitted infections and, if necessary, treatment will be provided.

Once the examination is completed, the doctor will discuss the results of the exam and provide recommendations for follow-up medical care. Testing and treatment for HIV is not done as a standard part of the pediatric sexual abuse examination, but testing is available later through the SATC office, an anonymity-guaranteed testing site. If the young person is considered high risk for infection, the doctor will discuss options available.

Counseling is an important follow-up service after the sexual abuse exam. The SATC offers therapy to any victim or family member.